1645 Hickory Lane min O EAGAN WATER SERVICE PERMIT
�< l.t Knob Road P ERMIT NO.:
ErOnPMN 55122 DATE: 4/26/74
Zoning: Pun No. of Units:
Owner: wo0dgat., New BAY f rim Hones
Address:
Site Address 1641-43 —'5-47 g4'kory Lane
Plumber: SOD Pltrabing CO.
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee: 10.00 pd
agree to comply with the Village of Eagan Surcharge: .50 pd
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.•
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: 2202
Eagan, MN 55122 DATE: 4/26/74
Zoning: PhD No. of Units:
Owner: lhtoodgate, New Beriaon Homes
Address:
Site Address: 1641- 43 -45 -47 Hickory Lane
Plumber: Thomspon Plumbing Co.
1 agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee: 19.00 }d
pd
Surcharge: .50
B y : Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
f For Office Use
R 5-471-
1 :::ee:
e
,RWa
', EivE Date Received: 17-
3830 PILOT KNOB ROAD EAGAN, MN 55122-1810
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(651)675-5675 TDD: (651)454-8535 FAX: (651)6 Xlp Staff: -=:
buildinginsoections@citvofeaoan.com ' 7 2019
20191RESIDENTIAL If• _ MIT APPLICATION
Date: 1 ( / ( 7 Site Address: / 9'( �� �r ( 4/7 �n c (Unit s 9/1e /
ar /
Name: WOO ai e tbile 01, .?t, �SSOC'O VOI'l Phone: 657 - Li-51-73Y7
Resident,
J / H-`char `11 0r Eay a SS a.)
owner Address/City/Zip:
Applicant is: Owner x,Contractor 1
Type of WorkDescription of work: ' `� Q� I Qar O.2 c d cep lac t
Construction Cost:/' /010 Multi-Family Building: (Yes /No
u d►�/'+t n dd 'fie C1'�7p tact: Sfe re. �p/-�►�old r�
Company: R D�0�k ens �pn a .J _
Address: / 7 5 73 foX 6d 1 C City: F t frit. h5 irti
Contractor l�/ f'6161"
r x368
State:M' Zip: �)3.°01` ( Phone: ' p` 59 / ` Email:
License#: A< ` ` V 0 1 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
No /Oa`fr/, sfr _ a ' I Noe P•h
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
MOTE Plans and supporting documents that you submit are considered to be public infommtion. Portlione of the information may be
classified as non-public if you provide sperm reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454.0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approve of ans.
x Sftrevl U(7r!'ic rut x
Applicant's Printed Name Applicant's Signet re ��